| Tory Jane Miksiewicz Clugston, MD | |
|
850 Golden Dr Ste 1, Blandon, PA 19510-9657 | |
| (610) 944-5555 | |
| (610) 944-5551 |
| Full Name | Tory Jane Miksiewicz Clugston |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 850 Golden Dr Ste 1, Blandon, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891107140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MT206657 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | MD458193 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital | Allentown, PA | Hospital |
| Reading Hospital | West reading, PA | Hospital |
| St Joseph Medical Center | Reading, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lehigh Valley Physician Group | 3072425123 | 2138 |
| Entity Name | Family Care Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Schuylkill Health System Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 |
| Mailing Address | Practice Location Address |
|---|---|
| Tory Jane Miksiewicz Clugston, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Tory Jane Miksiewicz Clugston, MD 850 Golden Dr Ste 1, Blandon, PA 19510-9657 Ph: (610) 944-5555 |
Dr. Robert S Donovan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11 Ingot Dr, Blandon, PA 19510 Phone: 610-944-8818 Fax: 610-944-7329 | |
Timothy L Jameson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 8500 Allentown Pike, Suite 1, Blandon, PA 19510 Phone: 610-926-3669 |